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04-100111City of Federal Way Community Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: GRAFF Project Address: 2231 S 287TH 5t Mechanical Permit #:04 - 100111 - 00 - ME Project Description: Remove and replave gas furnace and A/C Inspection request line: 253.835.3050 Parcel Number: 027120 0050 Owner Applicant Contractor George H Graff & April Graff PERFORMANCE HEATING & A/C INC PERFORMANCE HEATING & A/C INC 2231 S 287TH ST 7649 S 180TH ST 7649 S 180TH ST FEDERAL WAY WA KENT WA 98032 KENT WA 98032 98003-3300 1 1 (425) 251-0356 Mechanical Valuation..........................................5700 Over the Counter Permit ...................................... Yes Mechanical Fixtures Description QuantiI Description Quanti Description Quanti Air Handling Units 1 Furnaces 1 PERMIT EXPIRES July 12, 2004. Fit issued on January 14, 2004 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way.. ,,( l 1 [ tq Owner or agent: �/ SGL 1 _ Date: 1 " _ 4 _ O /�/ eGF�'YU;F,/ o A,/ /-2,8- - v �� • -1, r- ��, RECEIVED CONSTRUCTION PERMIT APPLICATION CITY OF PPLICATION NUMBER: M -t L -00 Way JAN 1 4 2004 PPLICATION NUMBER: PLICATION NUMBER: CITY OF FEDEF3Apvy **The foil ePjyWt% mation — Please print (in ink) or type* Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. �J n PROPERTY• • SITE ADDRESS: '223 1 5, ••-� r ' ASSESSOR'S TAX/ PARCEL #: �^_•,� _ _ _ _ _ - _ _ _ _ LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ! IXC 00sv E PR07ECT INFORMATION TYPE OF PROJECT (This application): o BUILDING ❑ PLUMBING R*iECHANICAL o DEMOLITION ❑ ELECTRICAL o ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): �� 4� �` Fv rµ` �� f2-cP j�ce.•tn }� qr� Ptl L PROJECT NAME PEOPLE•• • PROPERTY OWNER: CONTRACTOR: NAME: j DAYTIME PHONE' MAILINGADDRESS (STREET AOORESS;�CITY,STATE, ft 2 S 2�Oj ! NAME: pE� Fd�)�&gCE lot& DAYTIME PHONE: ; (yzs ) ?-5 -o3r� i MAIUN DRESS (STREET DDRESS; CITY, TE. ZIP): I. EVENING PHONE: QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER:fp 1 A V 9R— FO 17 4- 1 �O /� f- , EXPIR�ATTION DATE: S/ I / -XI / Q+ (copy of card required) ( APPLICANT: I NAME: DAYTIME PHONE: 11f-0 Cit MAILING 1 L-:'� 5 (STREET ADDRESS; CITY, STATE ZIP) ^� ENING PHONE! t(' /LJ_ G(j ' RELATIONSHIP TO PROJECT: ! FAX NUMBER: ❑ ARCHITECT ❑ TENANT CfbTHER ( DESCRIBE): E-MAIL ADDRESS: I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR • • • • • EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: SPRINKLERED BUILDING? WATER SERVICE PROVIDER: SEWER SERVICE PROVIDER' PROPOSED VALUATION FOR IMPROVEMENTS: $ o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE (WELL) o LAKEHAVEN o HIGHLINE o PRIVATE (SEPTIC) _C3 ❑ NO **NEW RESIDENTIAL CONSTRUCTION ONLY" NUMBit OF BEDROOMS: ` ESTIMATED SELLING PRICE: $ ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTORS) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) FAN(S) HOOD(S) FIREPLACE INSERT(S) RANGE(S) FURNACE(S) GAS PIPE OUTLET(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) REFRIG.SYSTEM(S) WOODSY VE(S) MISC. C- HEAT SOURCE: ❑ ELECTRIC ❑ GAS URINAL(S) WATER HEATER(S) VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS WASH MACHINE OUTLET WATER CLOSET(S) MISC. I certify under penalty of perjury that the Information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees Incurred in the Investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofythis application. (, NAME/TITLE: /�' "" - / ' A !✓ IL DATE. d I ❑ PROPERTY OWNER ❑ APPLICANT prCONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129 www.ckyofftderalway.com yoffederalway.com Construction Permit Fee CalcARMI Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical, and fire prevention system fees are based on the following schedule. PLUS: TABLE A TOTAL VALUATION of the FEE FACTOR (1) $1.00 to $500.00 (1) $30.00 (2) $501.00 to $2,000.00 (2) $30.00 for the first $S00.00 plus ,t9.Ofl for each additional S100.00 or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $90.00 for the first $2,000.00 plus $18.00 for each additional 5100000 or fraction thereof, to and including $25,000.00 (4);25,001.00 to $50,000.00 (4) $504.00 for the first $25,000.00 plus 113.00 for each additional 1000 A9 or fraction thereof, to and Including $50,000.00 (5) ;50,001.00 to ;100,000.00 (5) $829.00 for the first $50,000.00 plus 5900 for each adddional SI OV O0 or fraction thereof, to and including $100,000.00 (6) $100,001.00 to $500,000.00 (6) $1,279.00 for the first $100,000.00 plus S700for each additions! 5100000 or fraction thereof, to and including $500,000.00 (>) $500,001.00 to $1,000,000.00 (7) $4,079.00 for the fist $500,000.00 plus S6 00 for wod addtional SI 0019 Ort or fraction thereof, to and Including $1,000,000.00 (8) $1,000,001.00 and up (8) $7,079.00 for the first $1,000,000.00 plus $ASO for each adANO 1 t r mn m or fraction thereof. Bold number Is the base fee for the spedfled Increment rtalldzed undeif/nednumber /sthe fee ver add/dona/syed//ed/narement Add 65 t ba F-1 se twMing permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District X39 surcharge, commercial only. Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Electrical, plumbing, and mechanical fees are calculated separately ** BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) (a) Base Fee: (b) Additional Increment Fee: 0 MECHANICAL PROPOSED VALUATION: d © ad FEE FACTOR FROM TABLE A: Number: (a) Base Fee: 0 (b) Additional Increment Fee:y, a a Estimated Permit Fee: (4) ! '� Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) ■ FIRE PREVENTION SYSTEM (a) Base Fee: (b) Additional Increment Fee: Base Fee Number of Fixtures $26.00+( X $9.00/fixture) _ (8) Estimated Permit Fee Estimated Pemdt fee X .65 = Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) (9) Estimated Plan Review Fee